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5 _ CHAIN OF CUSTODY <br /> ENVIRONMENTAL �-- , Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> F <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> y <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada v) ¢ E <br /> Project Name: v, <br /> Purchase Order Number: U w a w <br /> w <br /> Quote Number: ST 20160309-01 <br /> a x Eoc <br /> Sampler(s) E z A A <br /> t v a. O <br /> ga ¢" w <br /> Sampling Fee: Pickup Fee: v o C' cn <br /> a <br /> C 1r cnM tu <br /> Compositor Setup Date: /_/ Time: /_ E z° p a z lu O Z I <br /> v E °o o g z <br /> Lab Number: STK 3-17919 0 <br /> > v E p P v a a <br /> ' F II <br /> Samp Location Description Date Time fl o y v <br /> Num Sampled Sampled <br /> I G DNN' 1 1,1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> y <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone: (805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />